WACS 2017 Session 2

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1. Paraesophageal Hernia Repair with Synthetic Mesh: A Single Institutional ExperienceRetrospective, institutional data from OHSU regarding the use of current-generation synthetic mesh in hiatal hernia repair revealed:

High rates of recurrence and erosion

High rates of recurrence, low rates of erosion

Low rates of recurrence and erosion

Low rates of recurrence, high rates of erosion

About This Quiz

WA/OR ACS Session II - Friday, June 16, 2017

2. What first name or nickname would you like us to use?

You may optionally provide this to label your report, leaderboard, or certificate.

2. Reducing Surgical Complications May Decelerate Rising Esophagectomy CostsAll of the following are major predictors of increased esophagectomy cost except?

Peri-operative Complications

Hispanic Race

Private Health Insurance

Western US Census Region

3. Outcomes following Acute vs. Elective Paraesophageal Hernia Repair: Emergency surgery is only selectively required in patients with acute presentationA 80-year old woman presents to the emergency department with acute symptomatic paraesophageal hernia Type IV. After the insertion of a nasogastric tube and administration of non-opioid analgesics, she is symptom free. What should be the next steps?

Hospital admission and emergent surgical repair within 48 hours.

Hospital admission overnight, pureed diet and completion of workup for a semi-elective surgical repair as an outpatient.

Discharge from the emergency department and follow-up as an outpatient in the department of thoracic surgery.

Discharge from the emergency department and follow-up with primary care physician.

4. Human Derived Amniotic Membrane is Associated with Decreased Post-operative Intraperitoneal Adhesions in a Rat ModelA 52 yo M undergoes a right hemicolectomy for CRC. He was found to have a single liver metastasis that is thought to be amendable to resection at a second operation. Based on this study what product could be used to prevent the number of adhesions.

Human amniotic membrane

Saline

Surgical technique

Talc

5. Lessons Learned: How to Foster Meaningful Mentor Relationships through a Structured Mentorship Program in General Surgery ResidencyWhat was NOT identified as an opportunity for improving the mentorship program?

Expanding mentors to alumni or community surgeons

Improving mentor-mentee pairing

Providing meeting guidelines

Making the program voluntary

6. 50 Pheos – An Evolving Approach to Preoperative Alpha Blockate Over 15 yearsA 62-year-old male with severe hypertension is diagnosed with a pheochromocytoma.Benefits of phenoxybenzamine over prazosin for preoperative alpha blockade include:

Less frequent dosing

Less expensive

7. Gastric Ischemic Preconditioning Prior to Esophagectomy is Associated with Decreased Strictures and Overall ComplicationsWhich is NOT and indication for ischemic preconditioning?

Tobacco Use

Diabetes

Elevated BMI

Preoperative feeding tube

8. Rethinking the Healthcare Burden of DiverticulitisAverage monthly disease-related healthcare costs per patient with diverticulitis in this study were:

$991

$42

$316

9. DECEASED ORGAN DONOR FACTORS INFLUENCING PANCREATIC GRAFT TRANSPLANTATION AND SURVIVALUsing this study as evidence, which of the following would not predict pancreatic graft survival in an organ recipient?

Insulin use during donor management

Meeting DMG Bundle prior to recovery

Donor vasopresssor use

Donor BMI

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Wacs 2017 Session 2